Syndesmosis or High Ankle Sprain Treatment

[@mohamedorayith4626]

The one and only video thoroughly explaining Syndesmosis sprain injury. +treatment. Thank you a million!!

[@clev3067]

3 years later and this informative video is very useful. Thank you for taking the time to put it together and sharing. Very much appreciated!

[@SportsInjuryPhysio]

You're very welcome!

[@ChristianDavo-g4y]

this video was 5years ago. but I find it very helpful to people. Thank you!

[@SportsInjuryPhysio]

You're very welcome!

[@technik333]

Thanks very much, this is the most informative video I have watched about high ankle sprain. Now I understand a bit more about the injury before seeing my orthopaedic!

[@SportsInjuryPhysio]

I'm glad you found it useful! xm

[@henrylevy7874]

Best high ankle sprain video I’ve ever seen. Thank you

[@SportsInjuryPhysio]

Wow, thanks!

[@shubhrajrathore1191]

this video helped me more than the doctors did. Must say very well explained and that article helped a lot swell.

[@SportsInjuryPhysio]

Glad to hear that!

[@mjclaudianava5397]

the struggle with Tibula when you say it along with Fibula is so relatable :D

[@DirençErşahin]

Thank you so much for the perfect explanation. This helps me a lot.

[@SportsInjuryPhysio]

You're very welcome!

[@ibrahimali236]

well done. great presentation in a relaxed environment

[@RainbowGage]

Finally I get an answer to why my shin hurts so bad. 3 weeks and its finally calmed down where micro movements aren't causing Niagara falls to flow from my eyes. Garbage can with ice water up to my knee is my therapy. The back of my calf area is also torn. I can't walk yet.

[@zzzck]

This is probably the most thorough coverage on high ankle. Should you use infrared heating? How about infrared heat light?

[@SportsInjuryPhysio]

At the moment there isn't strong enough evidence to show that any infrared devices really make a difference to healing, but they have also not been shown to do any harm. So I would not spend money on getting that treatment but if you have it available already, then it may be OK to use.

[@pacomonje]

This video is amazing I just had an injury like that falling on my off-road motorcycle.

[@SportsInjuryPhysio]

Good luck with your recovery!

[@pacomonje]

@@SportsInjuryPhysio thank you! am interested on an online session, but I do not know which time could fit for you. I am from Mexico.

[@SportsInjuryPhysio]

Our online booking system is quite clever - it will give you options for available time slots in your own time zone. It's easiest to start the booking process here: www.sports-injury-physio.com/services

[@brad361]

Very comprehensive. Great explanation.

[@eoinllewellyn]

really excellent just popped my ankle on the beach running. this is a very informative video

[@SportsInjuryPhysio]

Glad it was helpful!

[@thedawei20]

Thanks for load of High ankle sprained. I regretted I did a foot flexing too quickly, Now I immobilized my ankle for 8 weeks , Then I rehab my foot to regain my muscle

[@DenzVandierendonck]

great video! thanks for all the information!

[@SportsInjuryPhysio]

My pleasure!

[@cherryllontoc1232]

Excellent presentation!

[@UsmanAli-bp2qs]

Hi, Firsly, your video is amazing and the best video regarding high ankle sprain on youtube with such detail. I had a question regading ankle dorsiflexion mobilisation exercises while sufffering with high ankle sprain. It has been suggested that initially dorsiflexion should be avoided after high ankle sprain. When fan dorsiflexion mobilization exercises be performed after high ankle sprain ? 6 weeks plus after the injury ?

[@johnphan9104]

I have the same question...let me know when you started your dorsiflexion movement?

[@mohamedorayith4626]

I've read that the AITFL actually provides highest ankle stability 35% rather than the 12:22 PITFL 42%

[@dassilbelloul]

I've been rehabing for almost a year, i regained dorsiflexion ROM but the dorsiflexion still hurts, the doctor told it's ok and fine after doing an MRI, should i be worried about the

[@SportsInjuryPhysio]

It may just be that the joint is irritated - ask the doctor what the source of your pain is - why is it still hurting and what do they suggest to get it better.

[@dassilbelloul]

@@SportsInjuryPhysio they literally said I can play football ball again just keep strength training the area

[@jaquino451]

How do you treat an high ankle sprain and how long does it take to heal

[@bretoner2]

I had a grade 4 injury. Needed surgery. They found the ligament at the top of my calf .

[@donnaclifford3688]

Hi i suffered a ankle sprain while i was at work it has been hurting since last week i went to the ER i was told that it was a ankle sprain i have a hard time walking on it and i was given a boot to wear and crutches so i need to know how long i must wear the boot i have been doing rest and ice and partial weight bearing by the use of crutches how long will it take for this to heal?

[@SportsInjuryPhysio]

We can't really know how long you should wear the boot because it depends on the type of ankle sprain - the treatment is very different for a high ankle sprain vs. a lateral ankle sprain. A physiotherapist can assess it for you and give you the correct treatment advice. This is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com

[@zo-eiminetwork7317]

Awesome guidance and instructions

[@NIKSANprod]

I have a less severe high ankle sprain on my left ankle. I was wondering if walking with a stabilising ankle brace is ok, as long as I dont get any pain signals. As for now (5 days after the sprain, but also immediately after that) I can bear all my weight on my left foot, I can make all kinds of rotations and I dont feel any pain. I only feel some kind of shivers here and there, but def. Not pain. I just dont want to do something wrong, but I feel I can walk.

[@SportsInjuryPhysio]

You need to check with your doctor - with this type of injury it is better to be too conservative at the start because you usually only have one chance to get it to heal conservatively and if you are too aggressive with your weightbearing you may end up interfering with your healing. So follow their advice.

[@richardgitonga7914]

Great work. Am so grateful

[@pitt570]

Great video...I’m waiting to see what my orthopedic says about mine...I completely tore my AITFL,have a moderate sprain in both my PITFL and IL and then have a hairline fracture in my posterior malleolus

[@SportsInjuryPhysio]

Ouch! Good luck with your recovery! xm

[@mattgross7726]

Dealing with the same exact injury right now. 7 weeks out and walking slowly but have very little range of motion and still have some pain.

[@prasiddhapaudyal7652]

Did u get surgery ?

[@pacomonje]

@pitt570 Hi there! How things came out? I hope you are really doing ok by now.

[@jaciobe]

I've literally just sprained my ankle yesterday. Bruising is medial and high lateral of malliolus.. I can lightly walk on it. Do one legged heel raises but with instability and a little bit of aching. Would it be possible to get some rehab exercises from you?? I have the video of ho it happened. I rolled it inwards but I've sprained each ankle 15 times now

[@Buzzcut223]

Any advice on recovery i had a complete tear of the deltoid ligament and a complete tear or my atfl ligament along with partial tear of cfl ligament. Can you give a guideline on this injury?

[@SportsInjuryPhysio]

You can find treatment advice for lateral ankle sprains (ATFL and CFL) here but your injury sounds a bit more complex since Deltoid is involved, so you are better off getting tailored advice from a physiotherapist: kzbin.info/aero/PLkRW4ITRa6bAXw48EQPjY44dH24mX-Wd9

[@flower_road_21]

Have u done surgery ?

[@ccdivelive]

A week ago my 9 year old daughter who is a competitive gymnast fell off the bar forward and we believed she got a high ankle sprain with a squeeze test at day 5. Initially she has 0 pain walking, level 2-4 pain doing tippy toe, jumping and running. We did taping and lace up brace. She still went to her gym training and did only conditioning. But in the past few days she developed walking pain level 1-2 from 0 at the time of injury. Shall I use Air Walking Boot instead of the brace to speed up the healing? How long do you think she can recover from a mild High Ankle Sprain? She is at her competition season is missing her competitions. Thank you for your video!

[@donnaclifford3688]

Go with the air boot along with ace wrap bandage for support 4 to 6 weeks for healing time i had this injury so i know how to treat it and crutches also will help

[@j_laf9575]

Thank you very much for such an informative video!

[@SportsInjuryPhysio]

Glad it was helpful!

[@guneetsingh6630]

I have high grade tear on my anterior talofibular ligament before 6months how can I heal this problem??

[@BicMichuM]

This is defntly what i have now...thank u...after 4wks still not 100%...might need to see a podiatrist

[@IslanderloverBKK]

Which week were you able to walk at least?

[@NatalieMarie917]

Can you also get a high ankle sprain by rolling your ankle forward (where you basically land on the tip of your toe and fall forward, causing hyperflexion in the front of your foot & ankle)? I know that that can obviously cause fractures, but could it just be a sprain if you landed with less force?

[@SportsInjuryPhysio]

This is the typical way in which you sustain a high ankle sprain or syndesmosis sprain (what this video is about)

[@DIMI5034]

I can see that you also answered to some recent comments so I will try my luck. On the DF to outside test, if i feel like only dorsiflexion causes pain what should be the problem? Is it still a high ankle sprain or it can be something else? I was thinking it's a grade 1

[@SportsInjuryPhysio]

You can't make the diagnosis from just one test - you have to combine the history of how it happened + how your symptoms react to movements + the tests. So I really can't provide a safe guess at what may be your diagnosis.

[@DIMI5034]

@@SportsInjuryPhysio basically the only problem is the DF. As for an injury moment, I don't really have an exact moment. I remember landing badly after a jump but the pain was only for a couple of seconds and I continued playing. I didnt have any problems with it afterwards except for the fact that I had the impression of the ankle cracking more often when moving it when I was laying down. After like 2 weeks from the incident it cracked harder one time (when laying down and just moving it) and after like 2 days I noticed having problems with it. There was no swelling, no nothing, just pain in DF movement. Now I am resting it and it seems better but I am not sure if resting is enough (I had an acl tear in my knee last year and I didn't know that yet, but after some longer rest I taught it's nothing serious and it's gonna get better and it was clearly false. I just don't know if that applies here)

[@cricketycrickets3141]

I have 2 bruises on the back of the ankle, on either side of what I thought was Achilles tendon. Maybe 2 inches above ankle bone that sticks out on the side. Could that be the posterior ligament you mention in this video? It is the last longest lasting bruise. Others went away after 6 weeks

[@SportsInjuryPhysio]

It may be - get it checked by a sports doctor or sports physio - they will be able to assess it properly.

[@bethvanepern9776]

Where is the link to the article that shows the taping?

[@dianadelacruz3322]

I injured my ankle due to I missed a step on a stair and fell on my left ankle and it popped twice (like something is popped together) my orthopaedic only used x-ray to determine that I have 2° high ankle sprain and put me in an aircast shoes I'm doubting if it really is high ankle sprain since he didn't really check my foot only based on x-ray

[@SportsInjuryPhysio]

xray can show it because the bones moves further away from one another if it is a high ankle sprain.

[@RobbyTheSniper]

I sprained mine playing soccer. It’s been 1 months plus. I don’t fell pains walking or moving around. But I can’t run or play soccer without feeling the pain. When I rotate the foot the pain is on the outside of the foot by the the ankle I think the call this lateral. am I overreacting?

[@SportsInjuryPhysio]

It can take 12 weeks or longer to fully recover. It is important to do the correct rehab and rebuild the strength around the ankle. If you have a lateral ankle sprain, this video may help: kzbin.info/www/bejne/mZ6ToHqberx3hck

[@caminho7340]

I had a maissoneuve fracture. 2 sydesmosis screws. 8 weeks non weight bearing. I still wore the moon boot 2 more weeks adjusting to weight bearing again. now ive transitioned to walking 3+ weeks after. Still doing it tough though including pain and swelling..... How important is it to goto physio after? can i practise movements on my own?

[@SportsInjuryPhysio]

You can absolutely practise movements on your own, but a physio can help you to choose the right exercises and make sure that you don't do too much too early. There is really no need to see a physio too often. All you need is rehab. I usually see my patients once for a 45 min session where we design their starter programme. Then I follow them up via email until they are ready to progress. For this type of injury I usually only see them every 3 to 4 weeks to update their rehab and if the patient progresses well and understands how to do their rehab they often only need to see me 3 to 4 times. So don't get sucked into seeing someone every week for x number of weeks!

[@caminho7340]

@@SportsInjuryPhysio thanks for excellent reply!

[@twinnisme]

How are you 10 months on if you don’t mind me asking? I’m 1 and a half weeks post surgery with 2 screws non weight bearing myself

[@caminho7340]

@@twinnisme everything healed up fine. I decided to leave the screws in which was a mistake. Mobility was impaired as well as aching. still waiting to get them out. See the physio and stick with the exercises it was a slow but sure recovery. Good luck

[@twinnisme]

@@caminho7340 oh I see, any reasoning to why you kept them in? My surgeon already booked my admission to take them out in about 3 weeks. Glad to hear you have recovered. And the same to you

[@johnphan9104]

AVOID DORSIFLEXION. I was 5 weeks into a grade 2-3 high ankle sprain recovery process. I did a bit of dorsiflexion and the ankle acted up and swelled for about 2 days. Does that mean the AITFL ligament is torn again and I have to restart the process all over again back to day 1?

[@SportsInjuryPhysio]

It likely just means that you've irritated it rather than torn it. But you will have to adapt your exercises to suit your current symptoms (so make them lighter or ease off fully for a few days) but you may find that once it is calmed down again it reacts a bit quicker than what it did initially so it isn't totally back to square 1.

[@rash_jr]

Hey man did your injury heal? I just went into a grade 2 or 3 ankle sprain like 5 weeks ago, got any tips? School has resumed lately I can't get there because if my injury. Really missing my friends and most importantly, I really miss walking again, wish me luck and I really hope to get into walking again.

[@johnphan9104]

@Rasheeq Junglee Be patient. Turtle 🐢 speed. Incrementally increase your progression. 2 crutches=%25 weight to 1 crutch=50% to 1 Cane 75% to Boot 90% to Shoes100%. 10 steps 15 steps 20 steps...its like working out. 5lbs 10lbs. However you body is 150lbs.

[@chrisriordan9610]

Hi I’ve had a weak ankle for over 30 years but I pulled the main muscle in my posture and this ankle seem to be very weak. Any advice

[@SportsInjuryPhysio]

This sounds like something that a slow graded strength training regime can help improve. A physio can assess it for you and work out a training plan. If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/

[@darinamedina1877]

Great video! Thank you!

[@csarville]

Is surgery necessary? Can I just naturally strengthen it?

[@SportsInjuryPhysio]

Your doctor will be able to answer this better because it depends on the extent of the injury. Often just using a brace or boot for a period may be enough.

[@shubhodeepgoswami1904]

I seem to have swelling in my PITFL ( behind the ball of the ankle on the posterior side) and have pain during plantar flexion. squeeze test does not lead to any pain. AITFL does not have any swelling. dorsiflexion is pain free. I have my injury through soccer / football as well. Can you please tell if there is anything in this video that might be different for this case. Thank you.

[@allenlockwood9860]

Why is ice still recommended when the inventor of the rice acronym retracted his statement in 2013 because 'ice does not help with healing' which is obvious. It dramatically decreases blood flow. Other than that, thank you for your help

[@SportsInjuryPhysio]

Because, like with most medical things, it all depends on the context. I agree that routine icing for days on end is not useful, but in some cases it is important to limit the internal bleeding and swelling immediately after the injury because if that is excessive it cuts off the circulation and you end up with a secondary injury. I discuss it in detail here: www.sports-injury-physio.com/post/using-ice-for-sports-injuries

[@kimberlyhernandez1455]

Please help :( I have so much anxiety. I fell playing "hockey" in the living room and xrays showed a nondisplaced distal fibula fracture. I was put in a cast for 4 weeks. My ortho took more xrays, said that the fracture was fully healed, took me off the cast, and told me to start walking on a moon boot immediately. He gave me a theraband and isometric dorsiflexion stretches along with tracing ABCs to alleviate stiffness. My foot was still swollen and VERY bruised, and there was no assessment on my ligaments or consideration for an ankle sprain. He said I should be off the boot in ~2wks because I was "young and healthy". I walked on the boot without crutches that day (a few days ago) with minimal discomfort. The next day I woke up and it was very swollen, and I can barely place any weight on it. I'm back on the boot with crutches and have been doing dorsiflexion exercises (until I came across this video). I'm 99% sure I have at least a grade II syndesmotic sprain, but really want an MRI to confirm the extent of injury and make a recovery plan. I'm really afraid that I re-injured it and that he's not gonna take my concerns seriously. What should I do? Should I stop any DF stretches until I get an MRI?

[@SportsInjuryPhysio]

You should ask for a review with your doctor and explain what happened. This way he can reassess using the new information and see what is needed.

[@arelis76]

How do you know is broken

[@SportsInjuryPhysio]

Have it assessed by an orthopedic doctor - they will order special xrays or most likely MRI

[@belgianmalinois2025]

When I wake up when I jump out bed or sit for too long the pain when I put my leg on the floor is so sore, 5 wks later I’m still sore and find walking too painful

[@subbysibuyas1916]

I've just sprained my ankle yesterday. Now i can't walk

[@SportsInjuryPhysio]

Maybe some of the videos in this playlist can help: kzbin.info/aero/PLkRW4ITRa6bAXw48EQPjY44dH24mX-Wd9

[@danielgamingpc4090]

Big like ! I SUBSCRIBE! For 1 month a have Ankle Sprain ! 👍👍👍

[@SportsInjuryPhysio]

Thanks for the sub!

[@dteun]

Are you dutch?

[@SportsInjuryPhysio]

No, South African.

[@kathyvantrease2804]

Dr blew me off for 3 months. Now tells me this is what it was. Too late for help?

[@zacharyjoseph7032]

16:00

[@darrenfraser5132]

Rest Ice Compression Elevate Refer to a good looking physiotherapist after five days

[@SportsInjuryPhysio]

😆👍

[@basakgun189]

Great work, thank you! But I have a question , as you know the RICE regime has changed again and now it is PEACE&LOVE. What do you think about the loading gradually in the acute phase? And now also the ice has been removed so what would you do instead? Thank you for taking your time and sharing + helping us!

[@SportsInjuryPhysio]

The advice about loading remains the same - this is a serious ligament injury and if you do strong dorsiflexion or too much weightbearing you will likely end up with it not healing and need surgery. As for ice - it still has a place during acute management but it should be used only when needed e.g. to stop internal bleeding and reduce excessive swelling - I discuss my opinion about it here: kzbin.info/www/bejne/gZjMh3evrZamo6s